Orthopaedic Electives

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Orthopaedic Electives

• Clerkship Coordinator Amanda
  Schwanzamands4_at_u.washington.edu

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Preceptorship in OrthopaedicsORTHP 675Local and
away sites possible

• Clerkship coordinator Amanda Schwanzamands4_at_u.w
  ashington.edu

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Preceptorship in OrthopaedicsORTHP 675

• Objectives
• Obtain a history and perform a physical
  examination focusing on the musculoskeletal
  system
• Perform a screening musculoskeletal examination
• Perform a basic peripheral nerve exam for the
  upper and lower extremities
• Summarize and present a patients chief complaint
  in an ordered and succinct fashion
• Discuss diagnosis and management of
  musculoskeletal problems
• Discuss basic principles of surgical management
  of common musculoskeletal problems

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Musculoskeletal TraumaORTHP 677Harborview
Medical Center

• Clerkship Director - Lisa Taitsman, MD

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Musculoskeletal Emergencies

• Fractures
• Dislocations
• Infections
• Neurovascular injuries
• Compartment syndrome

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Objectives

• Students will be able to
• Diagnosis and manage musculoskeletal injuries.
• Perform a musculoskeletal evaluation including
  neurologic function.
• Interpret x-rays of the musculoskeletal system
  including fractures and dislocations.
• List those traumatic musculoskeletal emergencies
  requiring immediate treatment
• Describe the multi-organ involvement typical of
  the polytrauma patient

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Musculoskeletal TraumaORTHP 677

• Multiple students per 4 week rotation
• Usually no more than two per team
• Call encouraged
• Frequent morning conferences
• Multiple choice examination
• Typical clerkship choice for those wanting to go
  into orthopaedics
• Warning this can resemble a one month audition
  or interview

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Pediatric OrthopaedicsORTHP 676

• Clerkship Director
• Greg Schmale, MD
• Pager 469-6595

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Pediatric OrthopaedicsORTHP 676

• Objectives Students will be able to
• Make a reasonable and appropriate differential
  diagnosis for the common pediatric
  musculoskeletal conditions
• Describe the pertinent diagnostic categories and
  the likelihood of each.
• Perform a basic but thorough evaluation,
  including physical examination, imaging studies,
  laboratories.
• Provide the standard of care in the community.
• Determine what youre comfortable treating, and
  what should be referred.

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Pediatric Orthopaedics

• One student per 4 week rotation
• No call required
• No pager required
• One or two days per week in OR, the rest in
  clinic
• Daily morning conferences
• Long answer final based on clinical exposure
• Optional presentation for honors
• Great for primary care practitioners to be

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ORTHP 680 P- General Orthopædic Clerkship

• VA Hospital
• Dr. Sangeorzan
• Foot ankle conditions
• Amputation service
• Dr. Sack
• Hand service
• Degenerative and traumatic conditions of the hand
• Dr. Chansky
• General orthopaedics

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ORTHP 680 P- General Orthopædic Clerkship

• Work-up for low back pain, appropriate used of
  imaging, and non operative treatment
• Primary and secondary osteoarthritis of the
  should, knee and hip
• Learn to perform a focused history and physical
  examination for osteoarthritis, including
  determination of risk factors
• Utilize medical evidence to devise treatment
  plans for osteoarthritis, including the use of
  medications and assistive devices
• Demonstrate basic skills in suturing, applying
  dressings/casts, and patient positioning,
  prepping and draping

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Musculoskeletal OncologyORTHP 678

• Clerkship DirectorJason Weisstein, MD

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Musculoskeletal OncologyObjectives

• Identify characteristics of primary sarcomas of
  bone and soft tissue
• Describe the incidence of metastatic disease
  involving the skeleton in adults and children
• Describe diagnostic characteristics of each
  sarcoma subtype
• Discuss principles of evaluation and staging of
  musculoskeletal cancers
• Describe typical treatments and their
  complications

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Musculoskeletal Oncology

• A broad exposure to the work-up, diagnosis and
  treatment of bone and soft tissue tumors
• Up to 2 students
• No required call
• The student is not expected to carry a pager
• 50/50 split between time devoted to inpatient and
  outpatient care
• Attend all morning rounds, clinics, tumor
  conferences, and operative cases.

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Outpatient OrthopaedicsORTHP 682

• Carol Teitz, MD, Clerkship DirectorObjectives
  
• Perform a focused evaluation of orthopaedic
  problems presented in the outpatient setting,
  including physical examination, the selection of
  imaging studies and laboratory tests.
• Develop a diagnosis, based on a careful
  consideration of all aspects of the case.
• Provide the standard of care in the community.
• Determine what youre comfortable treating, and
  what should be referred.

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Outpatient Orthopaedics ORTHP 682

• 1 student at a time
• Attend didactics on Monday mornings
• No call, no pager
• All outpatient duty hours 8-5
• Final exam written multiple choice
• Best for students interested in primary care.

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Sports Medicine - ORTHP 681 Objectives

• Perform and present a history and directed
  physical exam of patients presenting with sports
  related musculoskeletal complaints.
• Develop a differential diagnosis for knee pain in
  the active patient (with and without a history of
  injury)
• Develop a differential diagnosis for shoulder
  pain in the active patient (with and without a
  history of injury).
• Describe the differential diagnosis for
  post-traumatic hemarthrosis of the knee.
• Discuss the common treatment recommendations for
  a patient with patellofemoral pain.
• Describe the expected history and physical
  findings in a patient with tendonitis, stress
  fracture, torn meniscus, ACL tear, rotator cuff
  tear, shoulder dislocation, AC separation, ankle
  sprain.

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Sports Medicine - ORTHP 681

• Trey Green, MDClerkship Director
• 1-2 students at a time
• Attend didactics on Monday mornings
• Outpatient and inpatient
• Final exam - written multiple choice

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Adult Reconstructive Spine Surgery ORTHP 684

• Objectives
• Perform a thorough history and physical
  examination of a patient presenting with a spine
  abnormality
• Determine appropriate diagnostic tests based on a
  differential diagnosis
• Discuss differences between surgical
  nonsurgical disorders

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Adult Reconstructive Spine Surgery ORTHP 684

• Objectives cont-
• Identify disorders constituting a surgical
  emergency
• Determine problems that are appropriate for
  primary care management and those spine problems
  that require referral to a spine surgeon
• Describe the complete spectrum of nonsurgical
  management of spine disorders

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Adult Reconstructive Surgery ORTHP 685

• Objectives
• Perform a thorough history and physical
  examination of the older adult patient presenting
  with hip or knee pain.
• Suggest appropriate diagnostic tests based on a
  differential diagnosis
• Describe the basic anatomical and
  pathophysiological aspects of hip and knee
  arthritis
• Suggest an appropriate course of non-surgical
  treatment for a patient presenting with hip or
  knee arthritis

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Adult Reconstructive Surgery ORTHP 685

• Objectives cont-
• Discuss the selection of patients and the
  expected outcomes of surgery for hip and knee
  arthritis.
• Identify patients for whom surgery would not be
  appropriate

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Shoulder and Elbow Orthopædics Clerkship - ORTHP
687

• Objectives
• Evaluate and develop management plans for
  patients with shoulder and elbow problems by
  conducting a thorough/efficient clinical history
  and physical examination
• Develop basic treatment options, including home
  exercises, medications and surgery along with the
  alternatives and risks of each.
• Learn to diagnosis and plan treatment for a core
  group of shoulder problems

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Orthopædics External Elective - ORTHP 697

• Orthopædics WWAMI Special Electives ORTHP 699
• New Electives
• Spokane
• Pediatric Orthopaedics at the Shriners Hospital
  for Children
• Physician Contact Paul Caskey, MD
• General Orthopaedics Orthopaedic Specialty
  Clinic of Spokane
• Physician Contact Kurt Anderson, MD

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Thank you for your attention!
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Questions? gschmale_at_u.washington.eduamands4_at_u.w
ashington.edu
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